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Acute Bed Simulation Russell Emeny, Fiona Lindsay, Claire Cordeaux Thanks to Terry Young, Sally Brailsford and Joe Viana.

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Presentation on theme: "Acute Bed Simulation Russell Emeny, Fiona Lindsay, Claire Cordeaux Thanks to Terry Young, Sally Brailsford and Joe Viana."— Presentation transcript:

1 Acute Bed Simulation Russell Emeny, Fiona Lindsay, Claire Cordeaux Thanks to Terry Young, Sally Brailsford and Joe Viana

2 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Our Aim - Driving Best Practice Key improvement messages Demonstrated using simulation Uses default data for immediate testing Local hospital data can be uploaded

3 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Answering Questions What is my bed occupancy %? How many beds am I using? What are my wait times for beds? How do improvement scenarios impact on these results?

4 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Simulation Model

5 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Parameter 1 - Admissions

6 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Parameter 2 – Length of Stay Number of midnight stays by hour and day of the week

7 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Parameter 3 – Discharge profile

8 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Parameter 4 - Beds

9 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Improvement Scenario 1 What if GP referrals arrived earlier in the day?

10 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Improvement Scenario 2 What if our ambulatory care patients were treated elsewhere? Select a percentage of admissions classed as “ambulatory” (default 25%) Select likely impact on number of midnight stays

11 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Improvement Scenario 3 Patients who stay for less than 2 midnights Research suggests 65% of patients

12 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Move patient discharges forward to earlier in the day Improvement Scenario 4

13 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Improvement Scenario 5 Reduce 14 night length of stay for over 75s

14 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Which scenario has the most impact? 1.GP referrals earlier? 2.Ambulatory care treated elsewhere? (25% of admissions) 3.Increase proportion of stays that are less than 2 midnights? 4.Move 50% of discharges earlier in the day? 5.Reduce 14 night stays for over 75s? (25% of admissions)

15 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Results are in… Which would you implement first?

16 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 7 Day Working – Current Question How to model this? Staff available 7 days a week to make discharge decisions Use a Monday profile (furthest from the weekend) What would you expect to see?

17 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 7 Day Working – Current Question Actually increases capacity required

18 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Why? Looking at 0-7 midnight stays – around 75% of admissions

19 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Impact of the weekend Number of midnight stays appear to be driven by a push to discharge on Friday

20 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com 7 day compared to Monday profile Patients are more likely to be discharged at the weekend Have a longer length of stay during the week Midnight stays 7 day profileMonday only 0 3565.83495.870 1 2772.52679.692.9 2 1910.42125.9-215.5 3 1485.41615.6-130.2 4 1076.51323-246.5 5 786.5574.7211.8 6 702.1398.3303.8

21 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com What next? Currently being tested with 3 hospitals for usability Presenting a poster at 7 Day Working event November 16 th

22 SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com Continuing the Work More questions emerging Informing national debate on emergency care and 7 day working Disseminate to hospitals Seeking support Link with research interests?

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